CareOregon
CareOregon
CareOregon este o organizație de servicii medicale și un plan de sănătate axate pe comunitate, care deservește membrii Oregon Health Plan prin servicii coordonate de sănătate fizică și mintală, servicii stomatologice și sprijin social. Activitatea sa include coordonarea îngrijirii, telemedicina, portaluri pentru furnizori și membri, servicii lingvistice și tribale, granturi comunitare și activități de informare. CareOregon abordează, de asemenea, factorii sociali determinanți ai sănătății prin programe asociate locuințelor, alimentației și transportului, sprijinind peste 500.000 de persoane din Oregon. Persoanele interesate de domeniul medical, asigurările de sănătate, furnizarea de îngrijiri și tehnologia orientată spre misiune pot găsi oportunități în echipele care susțin aceste servicii.

Member Engagement Billing and Data Specialist (Remote in Oregon)

CareOregon is seeking a billing and data specialist to review language-services invoices, coordinate vendor payments, and maintain operational reporting for Member Engagement programs.

Descriere

  • Validate language-services invoices for accuracy, completeness, and compliance with contract terms
  • Investigate billing discrepancies, patterns, and errors that could affect payment integrity
  • Coordinate invoice corrections between vendors and internal stakeholders
  • Monitor invoice-processing timelines and resolve open billing matters
  • Coordinate quality-control and process-improvement initiatives for language-services invoicing
  • Work with interpreter-service vendors on billing, payment status, and data-integrity matters
  • Help vendors follow invoice requirements, correction procedures, and submission standards
  • Monitor vendor billing accuracy, data quality, and performance
  • Build and manage quality dashboards and tools for vendors and contractors
  • Maintain and analyze language-services, invoice, contract, and Meaningful Language Access data
  • Validate critical datasets and assist with Meaningful Language Access metric reporting and submissions
  • Create and maintain tools, reports, and dashboards covering vendor quality, billing accuracy, and operational performance
  • Monitor interpreter-services budgets and expenses
  • Analyze invoice, vendor, and operational data and present findings and recommendations
  • Coordinate billing and data deliverables tied to strategic language-access plans
  • Assist with Member Engagement reports, survey information, incentive-program data, operational metrics, and dashboard initiatives
  • Contribute to cross-functional and cross-regional workgroups
  • Create and update standard operating procedures for billing, data validation, and vendor workflows
  • Recommend workflow enhancements and reinforce data integrity
  • Keep partners and teams informed about invoice status, trends, and risks

Cerințe

  • At least two years of experience in billing, invoicing, data analysis, or operations support
  • Experience using Excel with large datasets
  • Preferred experience in healthcare billing, Medicaid, Oregon Health Plan, or managed care settings
  • Preferred experience with interpreter services, language-access programs, or comparable delivery programs
  • Preferred experience supporting reporting, operational tracking, or process-improvement work
  • Familiarity with applicable laws and established practices for interpreting services
  • Working knowledge of managed-care fundamentals, the Oregon Health Plan, and Medicare
  • Knowledge of program and project management tools and recordkeeping practices
  • Understanding of operational reporting, performance metrics, data analysis, and program evaluation principles
  • Knowledge of data management, validation, and quality-assurance practices
  • Familiarity with dashboarding and visualization platforms such as Power BI, Tableau, or similar tools
  • Intermediate to advanced Excel proficiency, including validation, formulas, and analysis
  • Ability to evaluate operational and billing data, detect trends and discrepancies, and explain findings
  • Ability to maintain reports and dashboards
  • Ability to balance multiple priorities and deliver work on schedule
  • Clear, professional written and verbal communication skills
  • Sound judgment and the ability to protect confidential information
  • Ability to work independently and collaboratively
  • Ability to work effectively with people from diverse backgrounds and groups
  • Ability to see, read, and hear for at least six hours per day
  • Ability to speak clearly and perform repetitive finger and wrist movements for three to six hours per day

Beneficii

  • Annual bonus opportunity with a 5% SIP target
  • Medical, dental, vision, life, AD&D, and disability insurance
  • Health savings account
  • Flexible spending account options
  • Lifestyle spending account
  • Employee assistance program
  • Wellness program
  • Discounts and supplemental options including voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, and 529 College Savings
  • Retirement plan with employer contributions
  • Paid time off
  • Paid state sick time
  • Paid holidays
  • Volunteer time
  • Jury duty leave
  • Bereavement leave
  • 401(k) contributions for employees who are not eligible for benefits
  • Work-from-home arrangement

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